A simple technique for neoumbilical reconstruction for congenital hernia associated proboscis deformity

Introduction: Umbilical reconstruction in pediatric patients who have developed a large proboscoid redundancy can be challenging after standard umbilical repair. We present a simple and unique surgical technique that results in a cosmetically appealing reconstruction. Operative technique: The operation is initiated with circumferential redundant skin excision and isolation of the hernia sac. Primary fascial repair is performed. Reconstruction utilizes the cut dermal/epidermal edge by approximating it to the exposed fascia just below the skin edge outside of the fascial repair in a purse string fashion for the creation of a neoumbilicus. Conclusion: This simple technique is unique from any currently published methods and results in a cosmetically pleasing reconstruction without evidence of any incision. Level of evidence: Level V: Expert Opinion.